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Hydration protocol: 16-20 oz water 2 hours before training 8-10 oz water immediately before training 4-6 oz every 15-20 minutes during training 16-20 oz within 30 minutes post-workout Monitor urine color (pale yellow indicates adequate hydration) Dehydration severely impairs training performance and recovery

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Patients on average can lose about 40-70% of their excess body weight after a gastric sleeve procedure

Weight loss plateaus on GLP-1 receptor agonists affect roughly 40% of patients by month six of therapy
